| NPI | 1285788422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-113544) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-01775) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110809) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-03-21 |